Captured Rotator Cuff: A Poor Prognostic Factor in Rotator Cuff Repair.
Flávio de Oliveira FrançaJosé Márcio Alves FreitasRicardo Palombini MedeirosRomero Ruan Cartaxo de QueirogaTiago Prause NunesGlaydson Gomes GodinhoPublished in: Revista brasileira de ortopedia (2020)
Objective To describe a new presentation of tears and retears of the rotator cuff, which we denominate captured rotator cuff (CRC). We also aim to evaluate it clinically and through images. Methods We assessed retrospectively 16 patients with intraoperative diagnosis of CRC between March 2005 and September 2017; by means of imaging (radiography and magnetic resonance imaging [MRI]) and functional scores (UCLA and Constant & Murley). In images we analyzed the evolution for rotator cuff arthropathy and presence of retears. Functionally, we compared the affected side with the contralateral side and extensive lesions with nonextensive. Results Five (31.25%) patients presented with rotator cuff arthropathy, and 10 (62.5%) with retears. Three (75%) patients with nonextensive lesions had good/excellent UCLA and Constant & Murley scores. In patients with extensive lesions, when the Constant & Murley score was evaluated, 6 (50%) presented good/excellent results, and in the UCLA score, 7 (58.3%). Comparing the affected side (Constant 74.72 points; UCLA 20 points) with the contralateral side (Constant 96.96 points; UCLA 25.63 points), there were worse functional results with statistical significance. Conclusion The diagnosis of CRC is suspected by characteristic findings on MRI and confirmed in arthroscopy. The affected shoulders present worse functional postoperative scores.
Keyphrases
- rotator cuff
- magnetic resonance imaging
- prognostic factors
- contrast enhanced
- end stage renal disease
- deep learning
- ejection fraction
- newly diagnosed
- computed tomography
- high resolution
- convolutional neural network
- diffusion weighted imaging
- pulmonary embolism
- chronic kidney disease
- peritoneal dialysis
- machine learning
- patient reported outcomes
- case report